Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kendallyn Johnson

Individual provider Sports Medicine (Internal Medicine) Physician · NPI 1790424760

Kendallyn Johnson is a Sports Medicine (Internal Medicine) Physician in Norfolk, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2022

Practice location Address checks out

5115 Hampton Blvd
Norfolk, VA 23529-5000
Phone: (757) 683-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Internal Medicine) Physician (primary) Taxonomy 207RS0010X · Licence 390200000X (VA)

Record details

NPI number1790424760
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 29, 2022
Last updated in NPPESMay 29, 2022
Certification dateMay 24, 2022
Mailing address103 Clearfield Cir Apt A, Colonial Heights, VA 23834-1858

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